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European Innovation Partnership on
Active and Healthy Ageing
12 April 2011
Jorge Pinto Antunes
Strategy and Analysis Unit DG SANCO, European Commission
Demographic projections 2008-2060
177,3%
2,0%
86,4%
0
150
300
450
600
"+65" "+80" Total population
popu
latio
n in
mio
0%
50%
100%
150%
200%
% ch
ange
2008 2060 % change
Rationale for EIP on Active and Healthy Ageing Demographic and macroeconomic implications- ageing society
Budget constraints & unsustainable care systems in the EU 27
! Total health spending - EU average of 9.6% of GDP in 2008 ! Total aged-related spending is projected to by 4.75% points of GDP by 2060 ! Shrinking workforce in the care sector and insufficient number of health specialists
Innovation and health ! Great potential and promise of health in innovation capacity, but… a number of
bottlenecks and barriers, on demand and supply side
Source: SANCO, based on Ageing Report 2009
EIP on AHA – a novel concept
! Announced in Europe 2020 flagship initiative on Innovation Union
=> contributing to smart growth based on knowledge and innovation => tackling societal challenges, e.g. ageing and health => enhancing Europe's competitiveness and fostering economic growth => addressing the weaknesses and removing obstacles in the European innovation system
! Is not a new instrument, but aims to provide a coordinated framework for definition and monitoring of actions
! Seeking to optimise and streamline the use of existing tools, under a single, coherent and integrated framework
! Bringing together actors at all levels and sectors to mobilise available resources and expertise
! Defining a common vision in achieving common objectives and goals
! Speeding up the innovation process from research to market – by removing bottlenecks and barriers and leveraging the demand-supply
! Scaling up and multiply successful innovation at EU level
Added value of the EIP
FACILITATING SCALING UP & MULTIPLYING
BRIDGING GAPS
& SPEEDING UP INNOVATION
PROCESS
IMPROVING FRAMEWORK CONDITIONS
JOINING UP RESOURCES
& EXPERTISE
Objectives and headline target
Headline target by 2020 ! Increasing the number of healthy life years (HLYs) by 2 in
the EU on average
A triple win for Europe ! Enabling EU citizens to lead healthy, active and
independent lives until old age
! Improving the sustainability and efficiency of social and health care systems
! Developing and deploying innovative solutions, thus fostering competitiveness and market growth
Indicative action area 1
Innovation in support of PEOPLE'S HEALTH AND WELL-BEING
o ageing-related chronic diseases such as Alzheimer’s, diabetes, cancer, Parkinson’s
·∙ little response to demand pull for innovation
·∙ scattered research and studies in MS
·∙ insufficient exchange of best practices and guidelines
·∙ delays in authorisation procedures
·∙ under-representation of older people in clinical trials
Ø prevention
Ø early diagnosis and screening
Ø Treatment; medicines (inc. personalised medicine)
Ø clinical trials
Ø own health management and monitoring (tele-care, tele - monitoring
Main objectives
Examples of bottlenecks
& barriers
Potential intervention
fields
Indicative action area 2
Innovation in support of COLLABORATIVE AND INTEGRATED CARE SYSTEMS AND SERVICES FOR OLDER PEOPLE
o more integrated approach to care deliveryo improved cost-efficiency and sustainability of health
systems
·∙ mismatch of supply and demand
·∙ care structure rigidity to adapt to changing conditions
·∙ slow innovation of existing business models
·∙ incomplete skill-set of care providers
Ø continuum of care
Ø home-& self-care, long-term care
Ø large scale tailoring and deployment of proved pilots (e.g. e-Health, ICT)
Ø trainings & capacity building for health & care workforce
Ø social innovation
Ø EU wide cooperation on HTA
Main objectives
Examples of bottlenecks
& barriers
Potential intervention
fields
Indicative action area 3
Innovation in PRODUCTS AND SERVICES FOR ACTIVE & INDEPENDENT AGEING
o more independent and active life of older peopleo business opportunities for enterprises
·∙ lack or ineffective interoperability
·∙ lack of standards
·∙ fragmentation - different legal, reimbursement and certification schemes
·∙ weak links between demand and supply
Ø global standards for better interoperability of innovative solutions for older people,
Ø more efficient and innovative use of public procurement schemes (inc. pre-commercial procurement)
Ø greater involvement of users from the outset of the innovation process
Main objectives
Potential intervention
fields
Examples of bottlenecks
& barriers
FP7 2007-201351 bln euro
CIP 2007-20133.621 mln euroR&D Instruments
GOVERNANCE OF FINANCIAL INSTRUMENTS FOR RESEARCH AND INNOVATION IN THE AREA OF ACTIVE AND HEALTHY AGEING
Health - 6.1 bln euroFood – 1.9 bln euro
ICT Challenge 5 - 37 mln euroSocio-economic Scinces and Humanities – 601 mln euro
Cooperation
CapacititesResearch for the Benefit of SMEs –
1.35 mln euroRegions of Knowledge – 126 mln euro
PeopleMarie Curie Actions – 4.7 bln euro
Euroepan Research Council (ERC)
Ideas – 7.4 bln euroProof of Concept Funding Initiative–10
mln euro
ICT Policy Support Programme
Theme 3: ICT for Health and Inclusion – 14 mln euro (2010)
Entrepreneurship and Innovation Programme
Financial Instruments:GIF (Growth and innovative facility)
– 505 mln euroSMEG (SME guarantee facility) –
506 mln euroEnterprise Europe Network (EEN)
– 320 mln euro
Assisted Ambient Living (AAL) JP
700 mln euro (2008-2013)JPI on
Neurogenerative Diseases-JPND
2.63 mln euro
Education, Employment,
Entrepreneurship Leonardo da Vinci
Programme 1.7 bln euro
PROGRESSCommunity Programme for
Employment and Social Solidarity – 743.25 mln euro
EPMF (European Progress Microfinance
Facility)200 mln euro (2010-2018)
ETPs-European Technology Platforms
IMI (Innovative medicine Initiative)2 bln euro (2007-2013)
321.5 mln euro (2007-2013)
LMI (Lead Market Initiative)
STRUCTURAL FUNDS 2007-2013347 bln euro
2nd PHP (Public Health Programme)
NTERREG IVC-321 mln euro INTERREG IVCB North West Europe-321 mln euro
Baltic Sea Region Programme- 321 mln euro
EUREKA – Eurostars Programme
100 mln euro FP7 + 300 mln euro Eurostars MSs (2008-
2013)
RSFF (Risk Sharing Finance Facility)
1 bln euro EIB + 1 bln euro FP7 (2007-2013)
Health sector
European Territorial CooperationExamples of programmes
European Social Fund (ESF)European Regional Development Fund
(ERDF)287 bln euro (2007-2013)
JASPERS (Joint Assistance to support Projects in European Regions)
SUPPLY SIDE INSTRUMENTS
DEMAND SIDE INSTRUMENTS
DEMAND SIDE INSTRUMENTS
Aligning and building synergies Coordination- one single coherent framework
across the entire R&D&I chain Partnership contribution - implementation of
actions
Partnership possible outcomes – targets
• Reducing disability rates in older populations
• Improving health and quality of life status
• Reducing the cost of illness in the long term => eventually contributing to é EU average HLYs by 2 by 2020
STEERING GROUP (SG)
Role ! High –level political and sectoral advocacy ! Sustained and long-term commitment ! Drawing up a strategic implementation plan (SIP)
Tasks
! Identification of main barriers and measures to overcome them
! Identification of priority areas, based on consultation results and identified bottlenecks
! Mapping of the existing instruments and programmes needed to
overcome bottlenecks and remove barriers
! Identification of commitments for stakeholders reflected in the SIP
! Identification of clear and concrete short, medium and long terms milestones Monitoring of the progress, based on a set of sound indicators and targets
Composition of the SG 34 members
STEERING GROUP
Patients’ organisation
Programmes/ Financial Instruments
(AAL, JPI, e-health)
European Parliament Council of the EU/
Member States
Older peopleorganisation
Health Workforce
Industry (ICT, pharmaceuticals, food, medical devices, telecoms)
Regions
Hospitals/Providers
Academic/Expert
Out-of- boxInsurers
Finance/Investment
Commissioners(Health, Digital Agenda)